Relapsed/Refractory Follicular LymphomaPhase 3OLYMPIA-5NCT06149286
A Trial to Find Out if Odronextamab Combined With Lenalidomide is Safe and Works Better Than Rituximab Combined With Lenalidomide in Adult Participants With Follicular Lymphoma and Marginal Zone Lymphoma
A Phase 3 study testing Odronextamab, Lenalidomide and Rituximab in people with Relapsed/Refractory Follicular Lymphoma and Relapsed/Refractory Marginal Zone Lymphoma (R/R MZL), run by Regeneron Pharmaceuticals at 171 sites in 18 countries.
Trial summary
This study is researching an experimental drug called odronextamab (referred to as study drug), in combination with lenalidomide. The study is focused on participants who have one of two types of cancer: Follicular Lymphoma (FL) or Marginal Zone Lymphoma (MZL) that has come back after treatment (called "relapsed") or… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Relapsed/Refractory Follicular Lymphoma, Relapsed/Refractory Marginal Zone Lymphoma (R/R MZL)
- What is being tested?
- Odronextamab, Lenalidomide and Rituximab
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 580 participants
- Where
- 171 sitesin 18 countries
- Study dates
- 28 Dec 2023to 30 Apr 2031
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Local histologic confirmation of FL grade 1-3a or MZL (nodal, splenic, or extra nodal MZL) as assessed by the investigator, as described in the protocol.
- Must have refractory disease or relapsed after at least 1 prior line (with a duration of at least 2 cycles) of systemic chemo-immunotherapy or immunotherapy. Prior systemic therapy should have included at least one anti-Cluster of Differentiation 20 (CD20) monoclonal antibody, and participant should meet indication for treatment, as described in the protocol.
- Have measurable disease on cross sectional imaging documented by diagnostic Computed Tomography [CT], or Magnetic Resonance Imaging [MRI] imaging, as described in the protocol.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.
- Adequate hematologic and organ function, as described in the protocol.
- All study participants must:
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- Have an understanding that lenalidomide could have a potential teratogenic risk.
- Agree to abstain from donating blood while taking study drug therapy and for 28 days after discontinuation of lenalidomide.
- Agree not to share study medication with another person.
- Agree to be counseled about pregnancy precautions and risk of fetal exposure associated with lenalidomide.
Who cannot join
- Primary Central Nervous System (CNS) lymphoma or known involvement (either current or prior history of CNS involvement) by non-primary CNS NHL, as described in the protocol.
- Participants with current or past histological evidence of high-grade or diffuse large B-cell lymphoma, or any histology other than FL grade 1-3a or MZL.
- History of or current relevant CNS pathology, as described in the protocol.
- A malignancy other than NHL (inclusion diagnosis) unless the participant is adequately and definitively treated and is cancer free for at least 3 years, with the exception of localized prostate cancer treated with hormone therapy or local radiotherapy (ie, pellets), cervical carcinoma in situ, breast cancer in situ, or nonmelanoma skin cancer that was definitively treated.
- Any other significant active disease or medical condition that could interfere with the conduct of the study or put the participant at significant risk, as described in the protocol.
- Allergy/hypersensitivity to study drugs or excipients. as described in the protocol.
- Active infection as defined in the protocol.
- Note: Other protocol-defined Inclusion/Exclusion criteria apply
Trial locations and contacts
171 sites in 18 countries. Contact the study team or a site near you to ask about taking part.
171 sites in 18 countries
Italy18 sites, 18 recruiting
- Recruiting
Centro Di Riferimento Oncologico (CRO), Aviano, National Cancer Institute
Aviano, Pordenone, 33081
- Recruiting
University of Bologna Dipartimento di Medicina Specialistica Diagnostica e Sperimentale
Bologna, 40138
- Recruiting
Azienda Ospedaliera Spedali Civili di Brescia
Brescia, 25123
- Recruiting
Candiolo Cancer Institute, FPO, IRCCS
Candiolo, Torino, 10060
- Recruiting
Ospedale Policlinico San Martino IRCCS
Genoa, Genova, 16132
- Recruiting
Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
Meldola, Forli-Cesena, 47014
- Recruiting
ASST Grande Ospedale Metropolitano Niguarda - Main Address
Milan, 20162
- Recruiting
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Milan, 20122
- Recruiting
Istituto Europeo di Oncologia
Milan, 20141
- Recruiting
A.O.U. di Modena
Modena, 41124
- Recruiting
S Gerardo Hospital
Monza, Monza E Brianza, 20900
- Recruiting
Federico II University
Naples, 80131
- Recruiting
AOU Maggiore della Carita
Novara, 28100
- Recruiting
Fondazione IRCCS Policlinico San Matteo
Pavia, 27100
- Recruiting
Azienda Ospedaliera di Perugia
Perugia, 06132
- Recruiting
Ospedale Santa Maria delle Croci
Ravenna, 48121
- Recruiting
A.O.U. Citta della Salute e della Scienza di Torino
Turin, Piedmont, 10126
- Recruiting
Santa Maria della Misericordia
Udine, 33100
Spain18 sites, 18 recruiting
- Recruiting
University Hospital Vall d'Hebron
Barcelona, 08035
- Recruiting
Hospital Clinic de Barcelona
Barcelona, 08036
- Recruiting
Hospital de la Santa Creu i Sant Pau
Barcelona, 08041
- Recruiting
Hospital Virgen De Las Nieves De Granada
Granada, 18014
- Recruiting
Institut Catala d'Oncologia
L'Hospitalet de Llobregat, Barcelona, 08908
- Recruiting
Hospital Universitario Ramon y Cajal
Madrid, 28034
- Recruiting
Fundacion Jimenez Diaz University Hospital
Madrid, 28040
- Recruiting
Hospital Universitario12 de Octubre
Madrid, 28041
- Recruiting
Hospital Universitario HM Sanchinarro
Madrid, 28050
- Recruiting
Hospital Universitario Central de Asturias
Oviedo, Principality of Asturias, 33011
- Recruiting
Son Espases University Hospital
Palma, Balearic Islands, 07120
- Recruiting
Hospital Universitario Quironsalud Madrid
Pozuelo de Alarcón, Madrid, 28223
- Recruiting
Hospital Universitario de Salamanca
Salamanca, 37007
- Recruiting
Hospital Universitario Marques de Valdecilla
Santander, Cantabria, 39008
- Recruiting
University Hospital of Santiago de Compostela
Santiago de Compostela, A Coruna, 15706
- Recruiting
University Hospital Virgen del Rocio
Seville, 41013
- Recruiting
Instituto Valenciano de Oncologia
Valencia, 46009
- Recruiting
University Hospital Doctor Peset
Valencia, 46017
France17 sites, 17 recruiting
- Recruiting
Hopital Victor Dupouy Argenteuil
Argenteuil, Île-de-France Region, 95100
- Recruiting
Centre Hospitalier d'Avignon
Avignon, 84000
- Recruiting
Avicenne Hospital
Bobigny, Île-de-France Region, 93000
- Recruiting
Polyclinique Bordeaux Nord Aquitaine
Bordeaux, Gironde, 33077
- Recruiting
Centre Hospitalier Metropole Savoie
Chambéry, Savoie, 73000
- Recruiting
Hopital Saint Vincent-de-Paul
Lille, Nord, 5900
- Recruiting
Institut Paoli-Calmettes
Marseille, Bouches Du Rhone, 13009
- Recruiting
Centre Hospitalier Universitaire (CHU) Montpellier
Montpellier, 34290
- Recruiting
Nantes University Hospital
Nantes, Pays de la Loire Region, 44093
- Recruiting
Hopital Saint Louis
Paris, 75010
- Recruiting
Assistance Publique-Hopitaux de Paris (AP-HP)
Paris, 75571
- Recruiting
Centre Francois Magendie
Pessac, Gironde, 33600
- Recruiting
CHU de Rennes
Rennes, Brittany Region, 35033
- Recruiting
Centre Henri Becquerel
Rouen, Normandy, 76038
- Recruiting
Institut Curie
Saint-Cloud, 92210
- Recruiting
Centre Hospitalier Regional Universitaire de Tours
Tours, Centre-Val de Loire, 37044
- Recruiting
Gustave Roussy
Villejuif, Île-de-France Region, 94800
South Korea13 sites, 12 recruiting
- Recruiting
Inje University Busan Paik Hospital
Busan, 47392
- Recruiting
Pusan National University Hospital
Busan, 49241
- Withdrawn
Yeyungnam University Medical Center
Daegu, 42415
- Recruiting
Gachon University Gil Medical Center
Incheon, Namdong-Gu, 21565
- Recruiting
Jeonbuk National University Hospital
Jeonju, Jeollabuk, 54907
- Recruiting
Yonsei University Health System
Seoul, 03722
- Recruiting
Asan Medical Center
Seoul, 05505
- Recruiting
Samsung Medical Center
Seoul, 06351
- Recruiting
Yeouido St. Marys Hospital
Seoul, 07345
- Recruiting
Seoul St Marys Hospital
Seoul, 137-701
- Recruiting
Seoul National University Hospital
Seoul, 3080
- Recruiting
St. Vincents Hospital - The Catholic University of Korea
Suwon, Gyeonggi-do, 16247
- Recruiting
Ulsan University Hospital
Ulsan, 44033
Poland12 sites, 10 recruiting
- Recruiting
In-Vivo Sp. z o.o.
Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-048
- Withdrawn
Szpital Uniwersytecki Nr2 Bydgoszcz
Bydgoszcz, 85-168
- Recruiting
Uniwersyteckie Centrum Kliniczne
Gdansk, Pomeranian Voivodeship, 80-952
- Recruiting
Pratia Onkologia Katowice
Katowice, 40-519
- Recruiting
Pratia MCM Krakow
Krakow, Malopolska, 30-510
- Recruiting
Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. Mikolaja Kopernika w Lodzi (Copernicus Memorial Hospital)
Lodz, 93-513
- Recruiting
Uniwersytecki Szpital Kliniczny Nr 4 w Lublinie, Centrum Innowacyjnych Terapii
Lublin, Lublin Voivodeship, 20-090
- Completed
Pratia Poznan Medical Center
Poznan, Wielkopolska, 60185
- Recruiting
Aidport Sp. z o.o.
Skorzewo, Wielkopolska, 60185
- Recruiting
Specjalistyczny Szpital im A. Sokolowskiego w Walbrzychu
Wałbrzych, Lower Silesian Voivodeship, 58-309
- Recruiting
Narodowy Instytut Onkologii
Warsaw, 02-781
- Recruiting
Uniwersytecki Szpital Kliniczny
Wroclaw, Lower Silesian Voivodeship, 50-367
Taiwan12 sites, 12 recruiting
- Recruiting
Chang Gung Medical Foundation Chia Yi Branch
Buzi, Chiayi County, 613
- Recruiting
Changhua Christian Hospital
Changhua, 500-06
- Recruiting
Show Chwan Memorial Hospital
Changhua, 50008
- Recruiting
Kaohsiung Medical University Hospital
Kaohsiung City, 80756
- Recruiting
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung City, 83301
- Recruiting
Taipei Medical University - Shuang Ho Hospital
New Taipei City, 23561
- Recruiting
National Cheng Kung University Hospital
Tainan, 701
- Recruiting
National Taiwan University Hospital
Taipei, 10002
- Recruiting
Taipei Veterans General Hospital
Taipei, 11217
- Recruiting
Tri-Service General Hospital
Taipei, 11490
- Recruiting
Taipei Municipal Wan Fang Hospital
Taipei, 116
- Recruiting
Chang Gung Memorial Hospital
Taoyuan City, 333
Turkey (Türkiye)11 sites, 11 recruiting
- Recruiting
Gazi University
Ankara, Central Anatolia, 06100
- Recruiting
Istanbul University, Istanbul Medical Faculty
Istanbul, 34093
- Recruiting
Ege University
Izmir, 35100
- Recruiting
Dokuz Eylul University
Izmir, 35340
- Recruiting
Ankara University Faculty of Medicine
Mamak, Ankara, 06620
- Recruiting
VM Medical Park Mersin Hospital
Mezitli, Mersin, 33200
- Recruiting
Sakarya University Medical Faculty
Sakarya, 54290
- Recruiting
Ondokuz Mayıs University
Samsun, 55270
- Recruiting
Tekirdag Namik Kemal University Hospital
Tekirdağ, Suleymanpasa, 59100
- Recruiting
Dr. Abdurrahman Yurtaslan Oncology Training and Research Hospital
Yenimahalle, Ankara, 06200
- Recruiting
Zonguldak Bulent Ecevit University
Zonguldak, 67600
Brazil10 sites, 10 recruiting
- Recruiting
Hospital Sirio Libanes Brasilia
Brasília, Federal District, 70200-730
- Recruiting
Uopeccan Hospital do Cancer de Cascavel
Cascavel, Paraná, 85806-300
- Recruiting
Hospital Erasto Gaertner
Curitiba, Paraná, 81520-060
- Recruiting
Amaral Carvalho Hospital
Jaú, São Paulo, 17210-080
- Recruiting
Hospital de Clinicas de Porto Alegre
Porto Alegre, Rio Grande do Sul, 90035-903
- Recruiting
Centro Gaucho Integrado
Porto Alegre, Rio Grande do Sul, 90110-270
- Recruiting
Instituto Nacional de Cancer Jose Alencar Gomes da Silva
Rio de Janeiro, 20231050
- Recruiting
Hospital Sao Rafael
Salvador, Estado de Bahia, 40285-000
- Recruiting
Hospital Sirio Libanes
São Paulo, 01308-050
- Recruiting
A Beneficencia Portuguesa de Sao Paulo, Oncology House
São Paulo, 01321000
Germany10 sites, 10 recruiting
- Recruiting
University Hospital Essen
Essen, North Rhine-Westphalia, 45122
- Recruiting
Clinic Frankfurt (Oder)
Frankfurt am Main, Hesse, 15236
- Recruiting
University Hospital Halle Saale
Halle, 6120
- Recruiting
Stadtisches Krankenhaus Kiel
Kiel, 24116
- Recruiting
Universitatsmedizin der Johannes-Gutenberg Universitat Mainz
Mainz, Rhineland-Palatinate, 55131
- Recruiting
LMU Klinikum
Munich, Bavaria, 80337
- Recruiting
TUM Fakultat fur Medizin - Klinikum Rechts der Isar
Munich, Bavaria, 81675
- Recruiting
Stauferklinikum
Mutlangen, Baden-Wurttemberg, 73557
- Recruiting
MVZ fuer Haematologie und Onkologie Rhein-Kreis GmbH
Neuss, 41462
- Recruiting
Robert-Bosch-Krankenhaus
Stuttgart, Baden-Wurttemberg, 70376
United Kingdom9 sites, 9 recruiting
- Recruiting
University Hospitals Dorset
Bournemouth, Dorset, BH7 7DW
- Recruiting
James Paget University Hospitals NHS Foundation Trust
Great Yarmouth, NR31 6LA
- Recruiting
Derriford Hospital and the Royal Eye Infirmary
Plymouth, Devon, PL6 8DH
- Recruiting
Barking, Havering and Redbridge University Hospitals NHS Trust
Romford, RM7 0AG
- Recruiting
Salisbury Foundation Trust
Salisbury, Hampshire, SP6 2ND
- Recruiting
The Royal Marsden NHS Foundation Trust
Sutton, Surrey, SM2 5PT
- Recruiting
Royal Cornwall Hospitals NHS Trust, Royal Cornwall Hospital
Truro, Cornwall, TR1 3LJ
- Recruiting
The Hillingdon Hospital
Uxbridge, Middlesex, UB8 3NN
- Recruiting
South Warwickshire NHS Foundation Trust
Warwick, CV34 5BW
United States8 sites, 7 recruiting
- Recruiting
Hattiesburg Clinic
Hattiesburg, Mississippi, 39401
- Recruiting
Indiana University and Comprehensive Cancer Center
Indianapolis, Indiana, 46202
- Recruiting
Dartmouth Cancer Center
Lebanon, New Hampshire, 03756
- Recruiting
David Geffen School of Medicine at UCLA
Los Angeles, California, 90095
- Recruiting
Boca Raton Clinical Research (BRCR) Global
Plantation, Florida, 33322
- Recruiting
Stony Brook University Hospital
Stony Brook, New York, 11794
- Recruiting
Prohealth Care Inc
Waukesha, Wisconsin, 53188
- Withdrawn
Clinical Research Alliance Inc
Westbury, New York, 11590
Israel7 sites, 7 recruiting
- Recruiting
Assuta Ashdod Medical Center
Ashdod, 7747629
- Recruiting
Hadassah Medical Center
Jerusalem, 91200
- Recruiting
Galilee Medical Center
Nahariya, 2210001
- Recruiting
Rabin Medical Center
Petah Tikva, 49100
- Recruiting
Chaim Sheba Medical Center
Ramat Gan, 5265601
- Recruiting
The Tel Aviv Sourasky Medical Center
Tel Aviv, 64239
- Recruiting
Assuta Medical Centers
Tel Aviv, 6971028
Australia5 sites, 5 recruiting
- Recruiting
Pindara Private Hospital
Benowa, Queensland, 4217
- Recruiting
Epworth Freemasons
East Melbourne, Victoria, 3121
- Recruiting
Royal Hobart Hospital
Hobart, Tasmania, 7000
- Recruiting
Liverpool Hospital
Liverpool, New South Wales, 2170
- Recruiting
Calvary Mater Newcastle
Waratah, New South Wales, 2298
Belgium5 sites, 5 recruiting
- Recruiting
Ziekenhuis Netwerk Antwerpen Stuivenberg
Antwerp, 2060
- Recruiting
Institut Jules Bordet
Brussels, 1000
- Recruiting
Universitair Ziekenhuis (UZ) Gent/ Ghent University Hospital
Ghent, Oost-Vlaanderen, 9000
- Recruiting
Algemeen Ziekenhuis AZ Delta
Roeselare, West-Vlaanderen, 8800
- Recruiting
Centre Hospitalier Universitaire at Universite Catholique de Louvain Namur
Yvoir, Namur, 5530
Malaysia5 sites, 5 recruiting
- Recruiting
Hospital Ampang
Ampang, Selangor, 68000
- Recruiting
Hospital Sultanah Aminah Jhor Bahru
Johor Bahru, Johor, 80100
- Recruiting
Hospital Queen Elizabeth
Kota Kinabalu, Sabah, 88586
- Recruiting
University of Malaya Medical Centre
Kuala Lumpur, Negeri / Wilayah Persekutuan, 50603
- Recruiting
Subang Jaya Medical Center
Subang Jaya, Selangor, 47500
Austria4 sites, 4 recruiting
- Recruiting
Ordensklinikum Linz
Linz, Osterreich, 4020
- Recruiting
Kepler University Hospital
Linz, Upper Austria, 4020
- Recruiting
Medical University Vienna
Vienna, 1090
- Recruiting
Klinikum Wels-Grieskirchen
Wels, 4600
Czechia4 sites, 4 recruiting
- Recruiting
Fakultni Nemocnice Brno
Brno, 62500
- Recruiting
University Hospital Hradec Kralove
Hradec Králové, East Bohemia, 50005
- Recruiting
University Hospital Kralovske Vinohrady
Prague, 10034
- Recruiting
Vseobecna Fakultni Nemocnice V Praze
Prague, 12808
Thailand3 sites, 3 recruiting
- Recruiting
Chulalongkorn University
Bangkok, Krung Thep Maha Nakhon [Bangko], 10330
- Recruiting
Sriraj Hospital
Bangkok, 10700
- Recruiting
Chiang Mai University
Chiang Mai, 50200
About this study
Official title: A Phase 3, Open Label, Randomized Study to Compare the Efficacy and Safety of Odronextamab (REGN1979), an Anti-CD20 x Anti-CD3 Bispecific Antibody, in Combination With Lenalidomide Versus Rituximab in Combination With Lenalidomide in Relapsed/Refractory Participants With Follicular Lymphoma and Marginal Zone Lymphoma (OLYMPIA-5)
This study is researching an experimental drug called odronextamab (referred to as study drug), in combination with lenalidomide. The study is focused on participants who have one of two types of cancer: Follicular Lymphoma (FL) or Marginal Zone Lymphoma (MZL) that has come back after treatment (called "relapsed") or did not respond to treatment (called "refractory"). FL and MZL are subtypes of Non-Hodgkin 's Lymphoma (NHL).
This study will be made up of two parts (Part 1 not randomized, Part 2 randomized - controlled).
Read more
The aim of Part 1 of the study is to see how safe and tolerable the study drug is when used in combination with lenalidomide, in participants with FL or MZL, and to determine the dose of the study drug to be used in Part 2 of this study. This combination is considered "first-in-human" as it has not been tested as a combination treatment in humans before.
The aim of Part 2, of the study is to assess how well the combination of the study drug and lenalidomide works compared to the combination of rituximab (called "the comparator drug") and lenalidomide. The combination of comparator drug and lenalidomide is the current standard-of-care treatment for relapsed/refractory FL and/or MZL. Standard-of-care means the usual medication expected and used when receiving treatment for a condition.
The study is looking at several other research questions, including:
- What side effects may happen from taking the study drug in combination with lenalidomide
- How much study drug is in the blood at different times
- Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects)
- The impact from the study drug on quality-of-life and ability to complete routine daily activities
- Conditions
- Relapsed/Refractory Follicular Lymphoma, Relapsed/Refractory Marginal Zone Lymphoma (R/R MZL)
- Being tested
- Odronextamab, Lenalidomide, Rituximab
- Keywords
- Relapsed/Refractory Follicular Lymphoma, Relapsed/Refractory Marginal Zone Lymphoma, Non-Hodgkin lymphomas, Indolent lymphomas, Odronextamab
- Medical subject headings
- Lymphoma, Follicular, Recurrence, Lymphoma, B-Cell, Marginal Zone
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
OdronextamabDrug
Also called REGN1979, Ordspono
Administered per the protocol
LenalidomideDrug
Also called REVLIMID
Administered per the protocol
RituximabDrug
Also called Rituxan
Administered per the protocol
| Study group | Role | What they receive |
|---|---|---|
| Odronextamab+Lenalidomide | Experimental | In part 1 (safety run-in), participants with R/R indolent lymphoma (FL and MZL), will receive odronextamab in combination with lenalidomide.
In part 2, 1:1 randomized participants with R/R FL and MZL, will receive odronextamab in combination with lenalidomide. Receives: Drug: Odronextamab; Drug: Lenalidomide |
| Rituximab+Lenalidomide | Experimental | In part 2 only, 1:1 randomized participants with R/R FL and ML, will receive rituximab in combination with lenalidomide (R2) followed by lenalidomide monotherapy. Receives: Drug: Lenalidomide; Drug: Rituximab |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of Dose Limiting Toxicities (DLTs) for odronextamab in combination with lenalidomide
Part 1
Measured: Up to 35 days
Incidence of Treatment Emergent Adverse Events (TEAEs) for odronextamab in combination with lenalidomide
Part 1
Measured: Up to 2 years
Severity of TEAEs for odronextamab in combination with lenalidomide
Part 1
Measured: Up to 2 years
Progression-Free Survival (PFS) as assessed by Independent Central Review (ICR)
Part 2
Measured: Up to 5 years
Secondary outcomes (21)
Odronextamab concentrations in serum
Part 1 and Part 2
Measured: Up to 30 months
Incidence of Anti-Drug Antibodies (ADA) to odronextamab
Part 1 and Part 2
Measured: Up to 30 months
Magnitude of ADAs to odronextamab
Part 1 and Part 2
Measured: Up to 30 months
Best Overall Response (BOR) as assessed by investigator review
Part 1 and Part 2
Measured: Up to 30 months
Duration of Response (DOR) as assessed by investigator review
Part 1 and Part 2
Measured: Up to 5 years
PFS as assessed by investigator review
Part 1 and Part 2
Measured: Up to 5 years
Complete Response (CR) as assessed by ICR
Part 2
Measured: Up to 30 months
BOR as assessed by ICR
Part 2
Measured: Up to 30 months
Overall Survival (OS)
Part 2
Measured: Up to 5 years
Event Free Survival (EFS) as assessed by ICR
Part 2
Measured: Up to 5 years
EFS as assessed by local investigator review
Part 2
Measured: Up to 5 years
DOR as assessed by ICR
Part 2
Measured: Up to 5 years
Time To Next anti-lymphoma Treatment (TTNT)
Part 2
Measured: Up to 5 years
Incidence of TEAEs for odronextamab in combination with lenalidomide versus R2
Part 2
Measured: Up to 2 years
Severity of TEAEs for odronextamab in combination with lenalidomide versus R2
Part 2
Measured: Up to 2 years
Overall change in Patient Reported Outcomes (PROs) as measured by scores of European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire (EORTC QLQC30)
Part 2 The EORTC QLQ-C30 includes 5 functional scales (physical, role, cognitive, emotional and social functioning), 3 symptom scales (fatigue, pain and nausea/vomiting), a Global Health Status (GHS)/QoL scale, and six single items (constipation, diarrhea, insomnia, shortness of breath, appetite loss and financial difficulties). For the functioning scales and GHS/QoL, scores range from 1 = "very poor" to 7 = "excellent" with higher scores indicate better functioning; for the symptom scales, scores range from 1 = "not at all" to 4 = "very much" higher scores indicate higher symptom burden.
Measured: Up to 5 years
Overall change in PROs as measured by scores of Functional Assessment of Cancer Therapy-Lymphoma Subscale (FACT-LymS)
Part 2 The FACT-Lym Lymphoma Subscale (LymS) includes 15 items to assess NHL-related symptoms and concerns. All questions are answered on a 5-point scale ranging from "not at all" (0) to "very much" (4). Higher scores are associated with a worse quality of life.
Measured: Up to 5 years
Overall change in PROs as measured by scores of EuroQoL 5 Dimensions 5 Levels (EQ-5D-5L)
Part 2 The EQ-5D-5L consists of the EQ-5D descriptive system and the EQ Visual Analogue Scale (EQ VAS). The EQ-5D-5L descriptive system comprises the following 5 dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: "no problems", "slight problems", "moderate problems", "severe problems" and "extreme problems". The EQ VAS records the participant's self-rated health on a vertical visual analogue scale where the endpoints are labeled "Best imaginable health state" and "Worst imaginable health state".
Measured: Up to 5 years
Change from first assessment in Patient Global Impression on Severity (PGIS)
Part 2 The PGIS includes a single-item to assess how a patient perceives the overall severity of cancer symptoms over the past 7 days. Patients will choose the response that best describes the severity of their overall cancer symptoms with options on a 5-point scale ranging from 1 (No symptoms) to 4 (Very Severe).
Measured: Up to 5 years
Change from first assessment in Patient Global Impression on Change (PGIC)
Part 2 The PGIC item includes a single-item to assess how a patient perceives their overall change in health status since the start of study treatment. Patients will choose from response options on a 7-point scale ranging from 1 (Much Better) to 7 (Much worse); 1- Much Better, 2-Moderately Better, 3-A Little Better, 4-About the Same, 5-A Little Worse, 6-Moderately Worse, 7-Much Worse.
Measured: Up to 5 years
Change from first assessment in the Global Population item 5 (GP5) items of the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire
Part 2 A single item (GP5) of the validated FACT-G questionnaire will be used to assess from the participant perspective the overall impact of treatment side-effect. The question item is on a 5-point scale ranging from "not at all" (0) to "very much" (4).
Measured: Up to 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Nov 2023
- Study start28 Dec 2023
- Primary completion30 Apr 2031 (estimated)
- Study completion30 Apr 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Relapsed/Refractory Follicular LymphomaStudies of the same condition, open and under way.
- More trials run by Regeneron PharmaceuticalsThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 580 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Regeneron Pharmaceuticals
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Clinical Trial Management, Study director, Regeneron Pharmaceuticals
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06149286
- Sponsor's protocol ID
- R1979-ONC-22102
- Other IDs
- 2022-503092-28-00
- Acronym
- OLYMPIA-5
- Status last verified
- Oct 2026
- First submitted
- 20 Nov 2023
- Last updated
- 7 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Yes: All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.
Study at a glance
From the registry record, last updated by the sponsor on 7 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 3, Open Label, Randomized Study to Compare the Efficacy and Safety of Odronextamab (REGN1979), an Anti-CD20 x Anti-CD3 Bispecific Antibody, in Combination With Lenalidomide Versus Rituximab in Combination With Lenalidomide in Relapsed/Refractory Participants With Follicular Lymphoma and Marginal Zone Lymphoma (OLYMPIA-5)
- ClinicalTrials.gov ID
- NCT06149286
- Acronym / sponsor ID
- OLYMPIA-5 / R1979-ONC-22102
- Conditions
- Relapsed/Refractory Follicular Lymphoma, Relapsed/Refractory Marginal Zone Lymphoma (R/R MZL)
- Keywords
- Relapsed/Refractory Follicular Lymphoma, Relapsed/Refractory Marginal Zone Lymphoma, Non-Hodgkin lymphomas, Indolent lymphomas, Odronextamab
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 580 participants (estimated)
- Lead sponsor
- Regeneron PharmaceuticalsIndustry (pharma, biotech, devices)
- Study start
- 28 Dec 2023 (actual)
- Primary completion
- 30 Apr 2031 (estimated)
- Study completion
- 30 Apr 2031 (estimated)
- First posted
- 28 Nov 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is researching an experimental drug called odronextamab (referred to as study drug), in combination with lenalidomide. The study is focused on participants who have one of two types of cancer: Follicular Lymphoma (FL) or Marginal Zone Lymphoma (MZL) that has come back after treatment (called "relapsed") or did not respond to treatment (called "refractory"). FL and MZL are subtypes of Non-Hodgkin 's Lymphoma (NHL).
This study will be made up of two parts (Part 1 not randomized, Part 2 randomized - controlled).
The aim of Part 1 of the study is to see how safe and tolerable the study drug is when used in combination with lenalidomide, in participants with FL or MZL, and to determine the dose of the study drug to be used in Part 2 of this study. This combination is considered "first-in-human" as it has not been tested as a combination treatment in humans before.
The aim of Part 2, of the study is to assess how well the combination of the study drug and lenalidomide works compared to the combination of rituximab (called "the comparator drug") and lenalidomide. The combination of comparator drug and lenalidomide is the current standard-of-care treatment for relapsed/refractory FL and/or MZL. Standard-of-care means the usual medication expected and used when receiving treatment for a condition.
The study is looking at several other research questions, including:
- What side effects may happen from taking the study drug in combination with lenalidomide
- How much study drug is in the blood at different times
- Whether the body makes antibodies against the study drug (which could make the study drug less effective or could lead to side effects)
- The impact from the study drug on quality-of-life and ability to complete routine daily activities
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Odronextamab+Lenalidomide | Experimental | Drug: Odronextamab, Drug: LenalidomideIn part 1 (safety run-in), participants with R/R indolent lymphoma (FL and MZL), will receive odronextamab in combination with lenalidomide. In part 2, 1:1 randomized participants with R/R FL and MZL, will receive odronextamab in combination with lenalidomide. |
| Rituximab+Lenalidomide | Experimental | Drug: Lenalidomide, Drug: RituximabIn part 2 only, 1:1 randomized participants with R/R FL and ML, will receive rituximab in combination with lenalidomide (R2) followed by lenalidomide monotherapy. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Local histologic confirmation of FL grade 1-3a or MZL (nodal, splenic, or extra nodal MZL) as assessed by the investigator, as described in the protocol.
- Must have refractory disease or relapsed after at least 1 prior line (with a duration of at least 2 cycles) of systemic chemo-immunotherapy or immunotherapy. Prior systemic therapy should have included at least one anti-Cluster of Differentiation 20 (CD20) monoclonal antibody, and participant should meet indication for treatment, as described in the protocol.
- Have measurable disease on cross sectional imaging documented by diagnostic Computed Tomography [CT], or Magnetic Resonance Imaging [MRI] imaging, as described in the protocol.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.
- Adequate hematologic and organ function, as described in the protocol.
Key exclusion criteria (8 listed)
- Primary Central Nervous System (CNS) lymphoma or known involvement (either current or prior history of CNS involvement) by non-primary CNS NHL, as described in the protocol.
- Participants with current or past histological evidence of high-grade or diffuse large B-cell lymphoma, or any histology other than FL grade 1-3a or MZL.
- History of or current relevant CNS pathology, as described in the protocol.
- A malignancy other than NHL (inclusion diagnosis) unless the participant is adequately and definitively treated and is cancer free for at least 3 years, with the exception of localized prostate cancer treated with hormone therapy or local radiotherapy (ie, pellets), cervical carcinoma in situ, breast cancer in situ, or nonmelanoma skin cancer that was definitively treated.
- Any other significant active disease or medical condition that could interfere with the conduct of the study or put the participant at significant risk, as described in the protocol.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| OdronextamabAlso: REGN1979, OrdsponoAdministered per the protocol | Drug | Odronextamab+Lenalidomide |
| LenalidomideAlso: REVLIMIDAdministered per the protocol | Drug | Odronextamab+Lenalidomide, Rituximab+Lenalidomide |
| RituximabAlso: RituxanAdministered per the protocol | Drug | Rituximab+Lenalidomide |
Primary outcome
Incidence of Dose Limiting Toxicities (DLTs) for odronextamab in combination with lenalidomide
Time frame: Up to 35 days
Part 1
Incidence of Treatment Emergent Adverse Events (TEAEs) for odronextamab in combination with lenalidomide
Time frame: Up to 2 years
Part 1
Severity of TEAEs for odronextamab in combination with lenalidomide
Time frame: Up to 2 years
Part 1
Progression-Free Survival (PFS) as assessed by Independent Central Review (ICR)
Time frame: Up to 5 years
Part 2
21 secondary outcomes
Odronextamab concentrations in serum
Time frame: Up to 30 months
Incidence of Anti-Drug Antibodies (ADA) to odronextamab
Time frame: Up to 30 months
Magnitude of ADAs to odronextamab
Time frame: Up to 30 months
Best Overall Response (BOR) as assessed by investigator review
Time frame: Up to 30 months
Duration of Response (DOR) as assessed by investigator review
Time frame: Up to 5 years
PFS as assessed by investigator review
Time frame: Up to 5 years
Complete Response (CR) as assessed by ICR
Time frame: Up to 30 months
BOR as assessed by ICR
Time frame: Up to 30 months
Overall Survival (OS)
Time frame: Up to 5 years
Event Free Survival (EFS) as assessed by ICR
Time frame: Up to 5 years
EFS as assessed by local investigator review
Time frame: Up to 5 years
DOR as assessed by ICR
Time frame: Up to 5 years
Time To Next anti-lymphoma Treatment (TTNT)
Time frame: Up to 5 years
Incidence of TEAEs for odronextamab in combination with lenalidomide versus R2
Time frame: Up to 2 years
Severity of TEAEs for odronextamab in combination with lenalidomide versus R2
Time frame: Up to 2 years
Overall change in Patient Reported Outcomes (PROs) as measured by scores of European Organisation for Research and Treatment of Cancer Quality-of-Life Questionnaire (EORTC QLQC30)
Time frame: Up to 5 years
Overall change in PROs as measured by scores of Functional Assessment of Cancer Therapy-Lymphoma Subscale (FACT-LymS)
Time frame: Up to 5 years
Overall change in PROs as measured by scores of EuroQoL 5 Dimensions 5 Levels (EQ-5D-5L)
Time frame: Up to 5 years
Change from first assessment in Patient Global Impression on Severity (PGIS)
Time frame: Up to 5 years
Change from first assessment in Patient Global Impression on Change (PGIC)
Time frame: Up to 5 years
Change from first assessment in the Global Population item 5 (GP5) items of the Functional Assessment of Cancer Therapy-General (FACT-G) questionnaire
Time frame: Up to 5 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 Oct 2026.
- OLYMPIALink provided by the sponsor.
- Individual participant dataSharing planned: Yes. All Individual Patient Data (IPD) that underlie publicly available results will be considered for sharing.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Clinical Trial Management study director
Regeneron Pharmaceuticals
171 sites in 18 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Odronextamab, Lenalidomide and Rituximab in people with Relapsed/Refractory Follicular Lymphoma and Relapsed/Refractory Marginal Zone Lymphoma (R/R MZL), run by Regeneron Pharmaceuticals at 171 sites in 18 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 7 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 171 sites in Italy, Spain, France, South Korea, Poland and 13 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Clinical Trials Administrator (844-734-6643, clinicaltrials@regeneron.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence of Dose Limiting Toxicities (DLTs) for odronextamab in combination with lenalidomide (time frame: Up to 35 days). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Oct 2026.